By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
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Performance Assurance AnalystPRIMARY PURPOSE: Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest quality of work product is delivered to our clients; confirm our adjuster’s claim files comply with specific client handling guidelines and company standards; and identifies trends in non-compliance to recommend training opportunities that exist.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Executes the quality assurance program by completing quality reviews of Personal and Commercial Lines claim files using Xactimate and Symbility with varying degree of severity (up to approximately $300,000).
- Interprets policy and client guidelines on personal and commercial lines claims to ensure compliance.
- Guides field colleagues on revisions as required to ensure compliance with client guidelines and company standards.
- Completes revisions as required via Xactimate and/or Symbility as appropriate.
- Documents review findings in accordance with team processes.
- Identifies and provides training and improvement opportunities to the Team Lead to meet established operational and technical audit requirements.
- Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and national quality initiatives at the local and/or SBU level.
- Provides feedback to the Team Lead to contribute to the performance management review meetings and group training, as needed.
- Maintains technical claims handling and estimating and jurisdictional expertise.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
- Performs other duties as assigned.
- Travel as required
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred. Must be eligible to be a licensed All-Lines adjuster. Completion of industry-related training course(s) preferred.
Experience
Five (5) years of related experience, to include three (3) years of claims handling, including three (3) years at an advanced technical level as a file reviewer of personal and commercial claims, or equivalent combination of education and experience required.
Skills & Knowledge
- Strong knowledge of claims handling and file review practices and procedures
- Versed in quality and auditing processes
- Proficient in electronic estimating using Xactimate or Symbility
- Excellent oral and written communication skills, including presentation skills
- PC literate, including Microsoft Office products and digital resources
- Analytical and interpretive skills
- Strong organizational skills
- Ability to learn how to navigate virtual meeting, screen sharing, and collaboration applications
- Self-motivated with an ability to thrive in a remote work environment
- Excellent interpersonal skills
- Ability to create and complete comprehensive, accurate and constructive written reports
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $60,000.00 - $70,000.00 USD Annual. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.Skills Required
- Five years of related experience, including three years of claims handling and three years at an advanced technical level as a personal and commercial claims file reviewer, or equivalent education and experience
- Eligibility to obtain an All-Lines adjuster license
- Strong knowledge of claims handling and file review practices and procedures
- Knowledge of quality assurance and auditing processes
- Proficiency in electronic estimating using Xactimate or Symbility
- Strong analytical, interpretive, organizational, communication, presentation, and report-writing skills
- Ability to work effectively in a remote team environment and use virtual collaboration applications
- Bachelor's degree from an accredited college or university
- Completion of industry-related training courses
Sedgwick Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Sedgwick and has not been reviewed or approved by Sedgwick.
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Leave & Time Off Breadth — Generous paid time off and paid holidays are emphasized, with PTO accruals increasing with tenure. Paid parental leave and caregiver support further expand time-off coverage.
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Healthcare Strength — Medical, dental and vision coverage is complemented by telemedicine and a personal health concierge. Wellbeing supports such as diabetes and weight-management programs, fertility services, and robust mental-health access (coaching, therapy, psychiatry) broaden care.
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Parental & Family Support — Paid parental leave and caregiver support are offered alongside family-forming resources. Fertility services and adoption assistance reinforce family-oriented benefits.
Sedgwick Insights
What We Do
From our modest beginnings as a regional claims administrator, Sedgwick has grown into a leading global provider of technology-enabled risk, benefits and integrated business solutions with 31,000+ colleagues, located across 80 countries. Through innovative product development, organic business development and strategic acquisitions, Sedgwick’s offerings continue to evolve beyond claims processing to meet the current and future needs of our clients. Our approach to delivering quality service in areas such as workers’ compensation, liability, property, disability and absence management goes far beyond just managing claims—we aim to simplify the process and reduce complexity, making it easy and effective for everyone involve.
Why Work With Us
We stay tuned into what our colleagues want and need and deliver a world-class colleague experience that demonstrates how much we value their unique contributions to our business. You’ll see and feel what it’s like to work for a company that’s committed to doing the right thing – for those we serve, for our planet and for each other.
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